| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
589 |
575 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
353 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
490 |
480 |
$25K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
632 |
631 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
835 |
825 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
243 |
243 |
$15K |
| S4993 |
Contraceptive pills for birth control |
255 |
253 |
$7K |
| 81025 |
|
521 |
513 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
58 |
$5K |
| 87210 |
|
470 |
464 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
33 |
$416.38 |
| A4550 |
Surgical trays |
15 |
13 |
$0.00 |